PFD Week 2016-The Key to Preventing Transvaginal Mesh Erosion: Utilizing Hydroditention during Proper

The Key to Preventing Transvaginal Mesh Erosion: Utilizing Hydroditention during Proper

Video Transcription

Video Summary

In this video, the surgeon demonstrates a surgical procedure using transvaginal mesh for reconstructive pelvic surgery on an 88-year-old patient with a history of pelvic organ prolapse. The surgeon begins by dissecting through the layers of the vaginal wall, using techniques to minimize erosion. A special needle with a rounded tip and colored gradations is used to insufflate the space with fluid. The anterior vaginal wall is incised, and the dissection continues deeper through the epithelium, lamina propria, muscularis, and connective tissue. Fat is observed, indicating that the dissection is in the correct space. The surgeon uses sharp instruments and blunt dissection to create a clear plane and develop a space for mesh placement. The video emphasizes the importance of proper dissection to minimize erosion and achieve successful mesh placement. No credits were granted for this video.

Asset Subtitle

Vincent Lucente, MD

Meta Tag

Category Education

Category Pelvic Organ Prolapse

Concept Anterior Vaginal Dissection

Concept Vaginal Mesh Repair

Concept Bladder

Concept Full-Thickness Dissection

Concept Urethrovesical Junction

Keywords

surgical procedure

transvaginal mesh

reconstructive pelvic surgery

pelvic organ prolapse

dissection

Education

Pelvic Organ Prolapse

Anterior Vaginal Dissection

Vaginal Mesh Repair

Bladder

Full-Thickness Dissection

Urethrovesical Junction